Individual provider · NPI-1

Doreatha J Baker, CPNP

Nurse Practitioner, Pediatrics · Saint Paul, MN

NPI number1003817016
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1003817016
Entity type
Individual (NPI-1)
Name
Doreatha J Baker
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsR091715-1MNYes

Practice location

347 Smith Ave N
Saint Paul, MN 55102-2387

Phone 651-220-6708 · Fax 651-220-6589

Mailing address

2910 Centre Pointe Dr
35-121a
Roseville, MN 55113-1182

Phone 651-855-2327 · Fax 651-855-2310

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